Provider Demographics
NPI:1619347648
Name:FLOWERS, ANTHONY LYNN (RPH)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:LYNN
Last Name:FLOWERS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:997 MOUNT VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-5402
Mailing Address - Country:US
Mailing Address - Phone:614-565-9108
Mailing Address - Fax:
Practice Address - Street 1:24 W OTTAWA ST
Practice Address - Street 2:
Practice Address - City:RICHWOOD
Practice Address - State:OH
Practice Address - Zip Code:43344-1139
Practice Address - Country:US
Practice Address - Phone:740-943-2233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-02
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRPH.03116250-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist